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Indiana rates for HCPCS L8642

Hallux Implant (Special Coverage Instructions Apply. See Mcm: 2130)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$178.79 / $178.79 / $375.67
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$178.31 / $183.44 / $192.37
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$188.22 / $188.22 / $363.26
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$188.22 / $188.22 / $282.33
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$281.75 / $413.24 / $540.41
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$319.32 / $413.24 / $507.15
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$302.83 / $302.83 / $375.67
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$257.41 / $302.83 / $385.37
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.27 / $256.16 / $269.18
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$113.34 / $187.42 / $261.98